News & Analysis

January 20, 2021
Medicare Insider

This week’s Medicare updates include the CMS pandemic plan, a final rule on Medicare coverage of innovative technology, a final rule on prior authorization process improvements, and more!

January 20, 2021
News & Insights

Starting July 1, CMS will reprocess affected claims to pay them at 70% of the 2019 Outpatient Prospective Payment System rate.

January 13, 2021
News & Insights

UnitedHealthcare (UHC) is suspending certain prior authorization requirements for in-network hospitals and skilled nursing facilities through January 31.

January 13, 2021
Medicare Insider

This week’s Medicare updates include payment adjustment information from the Consolidated Appropriations Act, revisions to information in the COVID-19 billing FAQ document, a notice of funding opportunity for development of radiology quality measures, and more! 

January 6, 2021
News & Insights

The Office of Inspector General (OIG) will be conducting a second round of audits to determine whether acute care hospitals are being inappropriately reimbursed for outpatient services provided to inpatients, according to a recent update to the OIG’s Work Plan.

January 6, 2021
Medicare Insider

This week’s Medicare updates include three advisory opinions, billing information for Most Favored Nation model drugs, the January 2021 OPPS update, and more! 

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